综合性护理干预对提高慢性心力衰竭患者认知程度及改善预后的作用研究

Effect of comprehensive nursing intervention on improving the level of cognition and prognosis of patients with chronic heart failure

目的探讨综合性护理干预对提高慢性心力衰竭患者认知程度及改善预后的作用,为临床护理提供依据。方法选择我院2012年6月~2014年6月收治的慢性心力衰竭患者60例,据护理方法不同分为对照组和干预组各30例,对照组进行常规护理,干预组在常规护理基础上应用综合性护理干预,包括心理护理、运动干预、体位干预、饮食干预、用药护理、健康教育,比较两组患者干预前后认知功能级生活质量各项评分,并对两组的预后进行比较。结果干预3个月后,干预组患者的时间定向力、地点定向力、即刻记忆、注意力及计算力、延迟记忆、语言、视空间各项评分分别为(8.97±0.59)、(8.39±1.14)、(2.93±0.82)、(4.45±0.64)、(2.26±0.14)、(8.83±1.26)、(2.62±0.34),显著高于对照组,差异均具有统计学意义(P<0.05)。干预3个月后,干预组患者的躯体功能、情绪功能、角色功能、认知功能、社会功能、总体生活质量各项评分分别为(95.37±3.62)、(91.40±3.97)、(89.42±4.13)、(81.33±4.64)、(59.01±3.92)、(89.47±4.18),显著高于对照组,差异均有统计学意义(P<0.05)。干预组心衰恶化再住院率、因心衰至急诊就诊比率均显著低于对照组,差异均有统计学意义(P<0.05)。结论对慢性心力衰竭患者实施综合性护理干预,可以提高患者对疾病的认知水平,使患者的生活质量及预后得到显著改善。

Objective To investigate the effect of comprehensive nursing intervention on improving the cognitive level in patients with chronic heart failure and the prognosis, to provide basis for clinical nursing. Methods In our hospital from June 2012 to June 2014, 60 cases patients with chronic heart failure according to the nursing methods were divided into control group and intervention group, 30 cases in each group, the control group was given routine nursing, the observation group based on routine nursing application of comprehensive nursing intervention. The psychological nursing, exercise intervention, body position intervention, dietary intervention, medication nursing, health education, cognitive function level quality of life, the score before and after intervention, and the prognosis were compared between the two groups. Results After 3 months intervention, intervention time directional force, disorientation, immediate memory,attention and calculation, delayed memory, language, visuospatial scores of observation group were(8.97 ±0.59),(8.39±1.14),(2.93±0.82),(4.45 ±0.64),(2.26 ±0.14),(8.83 ±1.26),(2.62 ±0.34), significantly higher than the control group, the difference was statistically significant(P<0.05). 3 months after the intervention, the intervention group patients physical function, emotional function, role function, cognitive function, social function, the overall quality of life scores were(95.37 ±3.62) and(91.40 ±3.97),(89.42 ±4.13),(81.33 ±4.64),(59.01 ±3.92),(89.47 ±4.18), significantly higher than the control group, the difference was statistical significance(P<0.05). The intervention group's worsening rehospitalization for heart failure or emergency department visits and ratio were significantly lower than the control group, the difference was statistically significant(P <0.05). Conclusion The implementation of comprehensive nursing intervention on patients with chronic heart failure, can raise the level of awareness of the disease of the patients, the quality of life of the patients and the prognosis is significantly improved.